HomeMy WebLinkAbout260360 06/28/16 o
CITY OF CARMEL, INDIANA VENDOR: 361174
ONE CIVIC SQUARE WORRELL CORPORATION CHECKAMOUNT: $****12,966.87*
CARMEL, INDIANA 46032 305 SOUTH POST ROAD CHECK NUMBER: 260360
INDIANAPOLIS IN 46219-7900 CHECK DATE: 06/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 278893 6,483.44 OTHER EXPENSES
651 5023990 278893 6,483.43 OTHER EXPENSES
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
361174
WORRELL CORP Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219 Due Date 6/21/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/21/2016 278893 $6,483.43
hereby certify that the attached invoice(s), or bill(s) is (are)true and
orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
361174
WORRELL CORPORATION Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219-7900 Due Date 6/21/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/21/2016 278893 $6,483.44
hereby certify that the attached invoice(s), or bill(s) is (are)true and
orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
Invoice Date Invoice No.
305 South Post Road 06/07/2016 0278893
Indianapolis, IN 46219-7900 certified as
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Women Business Enterprise904
(317)895-9708 by the State of Indiana and the
City of Indianapolis MNIBE Programs Te"Net 30 Das
t.ututu.worrellcorp.com Y
Sold To Shipped To 0001
CITY OF CARMEL CITY OF CARMEL °
WATER-WASTEWATER UTILITIES SCOTT CAMPBELL
30 W MAIN STREET-STE 220 WATER-WASTEWATER UTILITIES
CARMEL, IN 46032 760 3RD AVE SW
CARMEL, IN 46032 SCOTT CAMPBELL
Ship Sales J Worrell Scott Campbell No 104348 Date 04/29/2016 V alPPed U.S. Mail
Person P.O.No.
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Description - ® - •
scampbelI@carmel-in.gov& MAIL ORfGINAL8 -— LACH
COC-PROC 1 City of Carmel - Utility Mailings 4674.61 H 4,674.61
COC-POST 1 City of Carmel - Postage for Mailings 8292.26 ACH 8,292.26
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Freight: .00
Sales-Tax: .00-
A FINANCE CHARGE of 2%per month(24%ANNUAL PERCENTAGE RATE)will be applied to all PAST DUE accounts. TOTAL DUE 12'966.87
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are Davable in U.S. Funds. Thank you for vour continued business.